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目的:分析腮腺区良性及恶性肿瘤的手术过程,总结其治疗方法。方法:94例腮腺肿瘤患者,均采取腮腺区“S”型切口,其中腮腺浅叶良性肿瘤采用保留面神经的腮腺浅叶及肿瘤切除术;腮腺深叶良性肿瘤采用保留面神经的腮腺全叶及肿瘤切除术;腮腺恶性肿瘤除1例高分化粘液表皮样癌患者采用保留面神经的腮腺浅叶及肿瘤切除术,其余12例均采取全腮腺切除术,术中保留未粘连的面神经,对部分粘连的面神经分支不予保留。结果:所有患者创口均一期愈合,其中5例患者术后出现面瘫,术后半年均不同程度恢复,随访半年至1年均未见肿瘤复发。结论:腮腺良性肿瘤应采取保留面神经的腮腺浅叶或全叶及肿瘤切除术,对恶性肿瘤最好采取腮腺全叶及肿瘤切除术,尽可能保留面神经。
Objective: To analyze the surgical procedure of benign and malignant tumors in the parotid gland area and summarize its treatment. Methods: Ninety-four patients with parotid gland tumor were treated with the “S” incision of the parotid gland. The parotid benign tumors of the parotid gland were treated by the parotid gland lobectomy and tumor resection. The benign parotid gland tumor was treated with the parotid gland And tumor resection; parotid malignant tumor in addition to a case of well-differentiated mucoepidermoid carcinoma of the parotid facial nerve preserving the facial nerve and tumor resection, and the remaining 12 cases were taken total parotidectomy, intraoperative preservation of uninjured facial nerve, part of the The adherent facial nerve branches are not preserved. Results: All the wounds were healed in one time. Five patients had facial paralysis after operation, and were recovered to varying degrees in six months after operation. No tumor recurrence was observed in six months to one year after operation. Conclusion: Parotid benign tumors should be taken to retain the parotid gland or the whole lobe of the facial nerve and tumor resection, the best for malignant tumors to take the parotid gland and tumor resection, as much as possible to retain the facial nerve.